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1609465772
STEPHEN ALEXANDER CLARK
NEW ALBANY, IN
NPI
1609465772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: IN 75000066A)
Enumeration Date
2021-01-13
Last Update Date
2023-09-22
Business Address
Mr. STEPHEN ALEXANDER CLARK CAA
1850 STATE ST
NEW ALBANY, IN 47150-4990
Phone number: 812-944-7701
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Mailing Address
Mr. STEPHEN ALEXANDER CLARK CAA
7904 MEYER LOOP
SELLERSBURG, IN 47172-2842
Phone number: 812-207-0316
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